ABSTRACT
Oral Lichenoid Lesion (OLL) is a variant type of Oral Lichen Planus (OLP) with a comparable clinical and histological appearance to OLP. This lesion is frequently caused by of direct contact with dental materials, drug consumption, or graft-versus-host disease. The purpose of this study is to examine a treatment challenge in-volving an oral lichenoid lesion caused by a glass ionomer cement restoration on a hemi-sectional molar tooth. Case report of a 20-year-old female with an asymptomatic white lesion on the left lateral border of her tongue due to direct contact with a Glass Ionomer Cement (GIC) filling in a lower first molar. The histopathology specimen showed no dysplasia and proved OLL. The GIC restoration was replaced with amalgam. Using topical clobetasol in conjunction with intralesional injections of triamcinolone acetonide and hyaluronic acid yielded superior results. Even when the triggering factor has been eliminated, recalcitrant OLL must be extensively monitored and managed. OLL malignancy transformation may be more prevalent than OLP malignancy transformation.
